Providers in Paris billed Medicaid $1,151,943 for services within the Temporary National Codes (Non-Medicare) category for 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 12.8% rise from 2023, when $1,021,574 in claims were processed for the same category.
Medicaid, a state-operated and jointly federal- and state-financed public health insurance program, covers low-income people and families, along with seniors, children, and individuals with disabilities. It remains one of the main components of the nation’s health care structure. More information is available at the Commonwealth Fund.
Since Medicaid funding is sourced from taxpayer dollars, indirect changes in local billing provide insight into how community health care resources are allocated.
The “Temporary National Codes (Non-Medicare)” designation tracks a collection of Medicaid-billed services based on defined HCPCS and CPT codes. For the purposes of this analysis, service codes were categorized using standardized numerical prefixes and ranges, preventing overlap and supporting consistent rankings.
While Medicaid spending increased in several areas, Temporary National Codes (Non-Medicare) placed fourth by total Medicaid funds in Paris during 2024.
Statewide in Tennessee, Temporary National Codes (Non-Medicare) also accounted for the fourth-highest Medicaid payment total in 2024.
Over the five-year span ending in 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Paris went up by $47,185, or 4.3%. Notably, rate of spending climbed in certain timeframes, with sizable year-over-year increases reporting in 2023 and 2022.
Local Medicaid spending on the Temporary National Codes (Non-Medicare) category was focused in a handful of ZIP codes in Paris for 2024. That year, ZIP code 38242 alone contributed $1,151,942 to the total, representing all payments tied to this category in the city.
The funds for Temporary National Codes (Non-Medicare) were also linked to just a small subset of individual billing codes in Paris.
Comparatively, the 12.8% uptick in Medicaid payments to the Temporary National Codes (Non-Medicare) category in Paris from 2023 to 2024 was below the citywide 15.4% increase across all Medicaid claim types over the same period.
Centers for Medicare & Medicaid Services data indicate federal and state Medicaid outlays totaled roughly $871.7 billion in fiscal year 2023, making up about 18% of overall national health spending. This represented an increase from $613.5 billion in 2019, before the COVID-19 pandemic began.
This change marks approximately 40% growth in just a few years, primarily resulting from expanded participation and higher service use during and after the pandemic.
The Trump administration’s recent federal budget law brought significant Medicaid changes. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid support by over $1 trillion over the next decade. It also introduces work requirements and higher cost-sharing, measures that may limit access and shift costs onto state budgets, while the program continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,104,758 | -3.2% |
| 2021 | $1,036,818 | -6.1% |
| 2022 | $709,121 | -31.6% |
| 2023 | $1,021,573 | 44.1% |
| 2024 | $1,151,942 | 12.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $4,464,735 | 46.2% |
| 2 | Medicine Services and Procedures | $1,490,329 | 15.4% |
| 3 | Evaluation and Management | $1,202,570 | 12.5% |
| 4 | Temporary National Codes (Non-Medicare) | $1,151,942 | 11.9% |
| 5 | National Codes Established for State Medicaid Agencies | $993,900 | 10.3% |
| 6 | Durable Medical Equipment | $137,048 | 1.4% |
| 7 | Ambulance and Other Transport Services and Supplies | $68,396 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $58,649 | 0.6% |
| 9 | Medical And Surgical Supplies | $34,039 | 0.4% |
| 10 | Radiology Procedures | $20,955 | 0.2% |
| 11 | Dental Services | $11,685 | 0.1% |
| 12 | Surgery | $7,936 | 0.1% |
| 13 | Procedures / Professional Services | $7,202 | 0.1% |
| 14 | Vision Services | $4,097 | <0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,237 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $788 | <0.1% |
| 17 | Anesthesia | $332 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $20 | <0.1% |
| 19 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0280 | Medical home, initial plan | $753,131 | 12 |
| S5125 | Attendant care service /15m | $386,533 | 9 |
| S5150 | Unskilled respite care /15m | $12,277 | 4 |
| S0109 | Methadone oral 5mg | $0 | 12 |
| S9485 | Crisis intervention mental h | $0 | 12 |
Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.
